Individual provider Active NPI

Meghan Kremke, PA-C

  • Medical Physician Assistant
  • Chicago, IL
National Provider Identifier
1902103476
Registry record updated Dec 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
085.003961 Issued in IL
Practice address
2641 W Division St
Chicago, IL 60622-2851
Phone
(772) 227-3500
NPI assigned
Feb 18, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 085.003961 IL Primary

Addresses

Primary practice location

2641 W Division St
Chicago, IL 60622-2851

Mailing address

2641 W Division St
Chicago, IL 60622-2851
Phone (773) 227-3500

Other names 1

  • Meghan Martin Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address mkremke284188@direct.myadvocateaurora.org Direct Asad Zaman MD SC
FHIR URL https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130930000112 IL Practitioner - Physician Assistant 5496989741 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Asad Zaman MD SCGroup PAC ID 5092744847, 9 clinicians

Practice addresses (Care Compare)

12800 S Ridgeland Ave
Suite E
Palos Heights, IL 60463-2391
Phone (708) 429-3700

15614 S Harlem Ave
Suite F
Orland Park, IL 60462-4401
Phone (708) 429-3700

Hospital & facility affiliations

  • Palos Community Hospital Hospital, Palos Heights, IL, CCN 140062
  • Advocate Trinity Hospital Hospital, Chicago, IL, CCN 140048
  • Advocate Christ Hospital & Medical Center Hospital, Oak Lawn, IL, CCN 140208

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
085.003961ILMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Affiliated Oncologists, LLC PastSince Sep 1, 2024 Accepting new patients
San Pablo Medical Center, LTD. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mkremke284188@direct.myadvocateaurora.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1297987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640822400000",
    "number": "1902103476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2641 W DIVISION ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606222851",
            "telephone_number": "773-227-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2641 W DIVISION ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606222851",
            "telephone_number": "772-227-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREMKE",
        "first_name": "MEGHAN",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-18",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IL",
            "license": "085.003961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mkremke284188@direct.myadvocateaurora.org",
            "affiliation": "Y",
            "affiliationName": "Asad Zaman MD SC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "6700 167th St",
            "address_2": "Suite 4",
            "city": "Tinley Park",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604772859",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "6700 167th St",
            "address_2": "Suite 4",
            "city": "Tinley Park",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604772859",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MEGHAN",
            "last_name": "MARTIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.